CHIP … · Web view · 2018-03-25They have not done any of the webinars and report that their...

PROG

RESSDefiance County

Community Health Improvement Plan Annual Report

2016-2018

POWER Defiance CountyCommunity Health Improvement Plan

Progress ReportDecrease Obesity

Action Step Responsible Person/Agency

Timeline Progress

Implement OHA Healthy Hospitals InitiativeYear 1: Hospitals should join Good4You educational webinars hosted by OHA and HCNO

Complete all Assessment Tools provided by OHA to gather baseline information on current food and beverages in the hospital cafeterias, vending, meetings, and gift shops.Implement the Good 4 You Initiative in at least one of the following priority areas:

Healthy Cafeterias/Cafes Healthy Vending Machines Healthy Meetings and Events Healthy Outside Vendors and Franchises

Use marketing materials (posters, table tents, stickers, etc.) to better brand the program

Jack Poling, ProMedica Defiance Regional Hospital

Jeff Mayer, Mercy Defiance Hospital and Clinic

Jane Zachrich, Community Memorial Hospital

December 31, 2016

Status: Complete

Year 2: Implement the Good4You Initiative in all four priority areas within each hospital

December 31, 2017

Status: complete Hospital Cafeterias are in compliance

Year 3: Introduce the program into other areas of the community (businesses, schools, churches, etc.)

December 31, 2018

Status: remove webinars no longer available

NotesYear 1: Q3 ProMedica and Community Memorial Hospital report they have done research into the Good4you program which is hosted by OHA and HCNO. They have not done any of the webinars and report that their cafeterias and vending would meet the criteria suggested by Good4you. Q4 Mercy and Community Memorial Hospital report they have not viewed any Good4you webinars or implemented any marketing materials. Both agencies agreed that they would like to keep the actions step in the CHIP.Year 2: Q1 ProMedica reported that there aren’t any Good4You webinars on the website. Mercy has been replacing high fat/sodium items in vending machines with healthier options. Community Memorial has increased the options offered at their salad bar.




Timeline Progress

Distribute Wellness Community Guide & CalendarYear 1: Raise awareness in the community on current Walking Guide, iMap, and Program Guides (newspapers, hospital newsletters, church bulletins, etc.)

Make sure guides and calendars are available online. Update key words on search engines.

Search for funding to sustain guides and calendars.

Develop infrastructure to encourage and enhance bike lanes, additional walking/biking trails, etc.)

Cindy Mack, Defiance Development & Visitors

Bureau

Defiance County Public Health

December 31, 2016

Status: Ongoing walking guides need to be updated

Year 2: Partner with local businesses, churches and schools to disseminate current information throughout Defiance County.

Enlist organizations to update the guides and calendars

Keep the community calendar updated on a quarterly basis.

Collect endorsements from the Defiance County Health Partners and other organizations to support moving forward with bike lanes and/or additional walking/biking trails, etc.

December 31, 2017

Status: Ongoing Need to distribute after materials are updated

Year 3: Enlist local businesses to sponsor the printing and dissemination of the calendar

Determine on an annual basis, who will update the guides and calendars for the next 3 years

Secure funding to implement bike lanes and/or additional walking/biking trails, etc.

December 31, 2018

Status: Ongoing

Notes:Year 1:Q1 April was designated trail month. We gathered information on walking, bike and canoe trails within the County. City/County has applied for funds for a bike/walk trail from Pontiac Park to Independence Dam.Q2: Information Gathering to update web profile for first of the year.Q3: Working to arrange with ODOT training for Bike trails for 2017 and create a flyer.Year 2

Q1: Will be gathering with a group prior to May meeting that will focus on the gathering and dispensing of information.Q2: Have had some preliminary meetings will meet next week withUnited Way on possibility of them serving as a data base with program they already have in use. Will work on Substance abuse initially.Q3: DCPH has the Defiance County Walking Guide on its website. Defianceinfo.com is in use for the community calendar (it is maintained by the DDVB).




Timeline Progress

Incorporate Families and Children into Community Physical ActivitiesYear 1: Obtain baseline data on races and other organized physical activities in the county and if they offer a child or family component

Meet with organized physical activity leadership to assess the feasibility of integrating child and family components into current planned events and activities

Rich Seward, YMCA


December 31, 2016

Status Complete: all races had a child/family component

Year 2: Increase child and family participation at organized physical activity events by 5%

December 31, 2017


Year 3: Increase child and family participation at organized physical activity events by 10%

December 31, 2018


Notes:Year 1:Q2: Deb with DCPH collected data regarding activities in Defiance County. Most all included a child or family component. There are not many activities during the winterperiod, so this may be an area to focus on.Q4: DDVB purchased for the community an Imagination Playground to promote Intelligent, organized activity leadership.Year 2:Q1: Deb with DCPH has a list of events with a child or family component and needs the number of participants for each event.Q2 List of activities for 2016 and 2017 show an increase in numbers of child and family participation at organized physical activity events

Increase Businesses/Organizations Providing Wellness Programs & Insurance Incentive Programs to Their EmployeesYear 1: Disseminate results of baseline data on businesses and organizations offering wellness and insurance incentive programs to employees.

Educate Defiance County Businesses about the benefits of implementing these programs

Encourage businesses and organizations to offer free or subsidized evidence-based programs such as Weight Watchers to their employees and their spouses

Jeff Mayer, Mercy Defiance Hospital and Clinic

Rich Seward, YMCA


December 31, 2016

Status Complete- Survey complete results were inconclusive

Year 2: Collect baseline data on businesses and organizations offering wellness and insurance incentive programs to employees. (new action step 2/16)Enlist 2 small and 2 large businesses/organizations to initiate wellness and/or insurance incentive programs. Partner with hospitals when appropriate.

December 31, 2017

Status Complete- Survey complete results were inconclusive

Year 3: Double the number of businesses/organizations providing wellness and insurance incentive programs from baseline.Year 3Possible stall talks for businesses or other information material (new action step 2/1/2018)

December 31, 2018

Status: ongoing distribute stall talks to businesses or other wellness information for employees

NotesYear 1:Q4: Data from previous survey 3 years old. A new survey will be sent to businesses in 2017 to assess the extent of employee wellness programs and insurance incentive programs in Defiance County. Added collect baseline data to year 2 action steps.Year 2:Q1: 2017 The survey has been updated and needs to be sent to businesses. DCPH is looking for a list of businesses in Defiance County to survey.Q4: The survey was distributed and analyzed. Most of the larger business have wellness programs. The majority of Defiance County residents who participated were interested in workplace wellness or were already participating in a workplace wellness program.




Timeline Progress

Build and Expand Community GardensYear 1: Obtain baseline data regarding how many districts, churches, and organizations currently have community gardens and where they are located.

Continue to add members to the Community Garden Coalition to include POWER Defiance County as well as the OSU Extension Master Gardeners Program, Kirchers Flowers, Lowes, Senior Centers, etc.

Cindy Mack, Defiance Development and Visitors

BureauJennifer English, City of

DefianceDiane Collins, Hicksville

VillageDefiance County Public

Health

December 31, 2016

Status: Ongoing Looking to partner with Hicksville Community Garden. Need volunteers to maintain garden. Hicksville need better access to fresh fruit and vegetables because their only grocery store closed.

Year 2: Help school districts and other organizations apply for grants to obtain funding to start a garden

December 31, 2017

Status: ongoing

Year 3: Implement community gardens in all school December 31, Status: ongoing

districts and double the number of organizations with community gardens from baseline.

2018

Notes:Year 1:Q1: Currently working with Senior Center to help fundraise for enhancement and repairs of their gardens.Q2: working to include Farmers Market in additional locations.Q4: Continuing to work with Senior Center on upgrading their Garden.Year 2:Q4: Juvenile Probation is always looking for volunteer opportunities for her clients. MRC volunteers could also be utilized to help with the gardens

Increase Nutrition/Physical Education Materials Being Offered to Patients by Primary Care OfficesYear 1: Work with primary care physician offices to assess what information and/or materials they are lacking to provide better resources for overweight and obese patients. (removed 2/2/2017)

Health DepartmentRich Seward, YMCA

Jack Poling, ProMedica Defiance Regional HospitalJeff Mayer, Mercy Defiance

Hospital and ClinicJane Zachrich, Community

Memorial Hospital

December 31, 2016

Status: Remove

Year 2: By, May 31, 2017 DCPH will provide primary care physician offices with to information and/or materials to provide resources for overweight and obese patients.

Offer trainings for PCP offices on nutrition and physical activity best practices, as well as referral sources.

Enlist at least 3 primary care physician offices.

December 31, 2017

Status: ongoing The Resources for Nutrition and Physical Activity Guide was posted on social media and will be distributed to physicians’ offices

Year 3: Offer additional trainings to reach at least 50% of the primary care physician offices in the county.

December 31, 2018

Status: ongoing

Year 2-3 Implement the My Plate Program in Defiance County Schools (new action step 2/1/2018)

Status ongoing: The health district has implemented the My Plate program in 3rd grade classrooms.

NotesYear 1:Q4: DCPH would changing action step to By, May 31, 2017 DCPH will provide primary care physician offices with to information and/or materials to provide resources for overweight and obese patients.Year 2:Q1: Deb at DCPH is compiling a list of resources and will distribute it to physicians by the end of May.Q2: The brochure “Resources for Nutrition and Physical Activity” A Guide for the Community is completed and will be distributed to 3 Primary care physicians

POWER Defiance County

Community Health Improvement PlanProgress ReportDecrease Obesity


Timeline Progress

Implement Complete Streets PoliciesYear 1: Raise awareness of Complete Streets Policy and recommend that all local jurisdictions adopt comprehensive complete streets policies.

Gather baseline data on all of the Complete Streets Policy objectives.





Health

December 31, 2016

Status: Ongoing the city has a plan and will be working on this in 2018

Year 2: Begin to implement the following Complete Streets Objectives:. Increase in total number of miles of on-street

bicycle facilities, defined by streets and roads with clearly marked or signed bicycle accommodations.

Increase in member jurisdictions which adopt complete streets policies.

Increase in number of jurisdictions achieving or pursuing Bike-Friendly Community status from the League of American Bicyclists, or Walk-Friendly Community status from walkfriendly.org.

December 31, 2017

Status: ongoing

Year 3: Continue efforts from years 1 and 2. December 31, 2018

Status: ongoing

Notes:Year 1:Q1: Strategic Planning Committee for City of Defiance started meeting again in April. Complete Streets is included as a part of this plan.Q2: Working to arrange a Complete Streets meeting with Deb Gilgenbach who has received training. Update Complete Streets in City Strategic PlanQ3: Have met to create initial plan. Sent letters to school Districts for information. Based on this info we will try to implement a program for 2017Year 2:Q1: Have met and forwarded questionnaire to Schools in Defiance County regarding their current policiesQ3: Need to follow up with the 2 schools that did not respond.Q4: The City does have a plan in place. The problem is it is from 2008/2009 and the schools have all been relocated/rebuilt.


Progress Report

Decrease ObesityAction Step Responsible

Person/AgencyTimeline Progress

Implement Safe Routes to SchoolYear 1: Collect baseline data on current Safe Routes programs in Defiance County. Gather information on what types of activities are offered, how many people attend the activities, how often activities take place, and location.

Identify key stakeholders to collaborate and develop a plan to start or expand Safe Routes Programs. Develop program goals and an evaluation process for tracking outcomes.

Look for funding sources to incentivize participation in the Safe Routes program.





Health

December 31, 2016 Status: Ongoing the city has a

plan and will be working on this in 2018. Kids live in the country and many do not walk to school

Year 2: Recruit individuals to serve as walking/biking leaders.

Decide on the locations, walking routes and number of walking/biking groups.

Link the walking/biking groups with existing organizations to increase participation. Consider faith-based organizations, schools, community-based organizations, and health care providers.

Begin implementing the program with 1 new school district

December 31, 2017

Status: ongoing

Year 3: Raise awareness and promote the Safe Routes programs.

Evaluate program goals.

Increase the number of Safe Routes programs by 25%

December 31, 2018

Status: ongoing

NotesYear 1:Q1: Strategic Planning Group started in April and will continue to ensure that this is a part of the overall plan.Q2: Continue communication and updates to Strategic Plan.Q3: Same as Complete Streets have sent letters to the schools to gain information.Q4: Working to become a recognized Trail Town and have the State evaluate us for Bike Trails.Year 2:Q1: 2017 Deb is looking into posting Safe Routes educational materials at bus stops to encourage safe walking.Q4: The plan is to apply for Safe Routes to School funding along Cleveland Avenue from Ottawa Avenue to Palmer Drive for sidewalks. This would work in to the connections we have applied for Capital Appropriations monies, ODOT funding and CDBG funding to build a multi-modal path along Ottawa from E. Second Street to the city limits south of Cleveland. The second phase will be to put the paths along Ayersville Avenue and Cleveland (from Ottawa to Ayersville). This neighborhood/area is LMI and has a high Hispanic percentage. One of the main items that came out

of neighborhood meetings in 2016 and 2017 was the need for safe paths.


Progress ReportIncrease Mental Health Services among Adults and Youth


Timeline Progress

Increase Awareness of Available Mental Health ServicesYear 1: Work with primary care physician offices to provide and educate on the information, resources and/or materials available for mental health services.Educate school personnel and social workers in at least three local school districts on the availability of mental health services (including SOS, Incredible Years, etc.)Create a presentation on available mental health services and present to Defiance County area churches, Law Enforcement, Chamber of Commerce, City Councils, Defiance College students majoring in social work, etc.Support and disseminate an informational brochure that highlights all organizations in Defiance County that provide mental health services. (“speed dating” idea)Support and disseminate current Yellow Page and Orange Guide, along with No Wrong Door

Kathy Helmke, Four County Family Center

Tonie Long, Four County ADAMhs Board

Julie Voll, Family & Children First Council

December 31, 2016

Status: Ongoing Toni and Jen are talking to PCP offices about mental health screening and substance abuse

Year 2: Continue efforts from year 1Educate school personnel and social workers in all local school districts on the availability of mental health services.Continue presentations on available mental health services to Defiance County groupsEnlist organizations to update the brochure on an annual basis and support updates of the Yellow Page and Orange Guide

Year 2: Partnering with Gun Retailers and Sportsman’s Clubs (new action step 2/1/2018)

December 31, 2017

3 area gun retailers are currently distributing the Suicide and Firearms Brochure as well as the Practice Targets with the National Suicide Hotline number (Partisan Arms, Wooden Indian Pawn Shop, Rat Pack Pawn Shop).

Year 3: Continue efforts of year 1 and 2 December 31, Status: ongoing

Continue efforts of years 1 and 2 and expand outreachDetermine on an annual basis, who will update the guides and calendars for the next 3 years

2018

Notes:Year 1:Q1: L.O.S.S. Presentations have been completed in March/April 2016:1.Nazarene Ministerial group2.United Methodist Ministerial group3.Defiance Ministerial group4.NWO Funeral Directors Associations, District 15. Total presentations in 4 county area: 14 ministerial groups and 3 RotariesQ2: L.O.S.S. Presentation completed at Promedica Defiance Family Physician’s office. Working with law enforcement ongoing with LOSS. This includes Defiance PD office, Defiance Sheriff office and Hicksville PD office. This includes numerous visits with them over the past year as all offices are calling us after a suicideQ3: Provider visits have been made to Promedica Ob/gyn office regarding depression and the LOSS team.2017 Q4Scheduled at Defiance Family Physicians (Promedica) 1/25/2018. Spoke with Mercy Defiance Clinic, wanting the presentation, in the process of scheduling. Have reached out to Hicksville Docs multiple times. Currently have a message in to Jessica ParrishYear 2:Q2: United Way of Defiance County worked with Four County Family Center to provide the Youth Mental Health First Aid Training to Guidance Counselors in all 5 school districts and the IEC. Two additional FCFC staff have been trained to provide the YMHFA training and plans are being made to host three additional trainings in the 2016 – 2107 school year for Defiance County school personnel.Q3: UWDC hosted a YMHFA training with Four County Family Center on Thursday, October 13 with 17 school personnel attending. The next training is scheduled for Tuesday, January 30th at Community Memorial Hospital in Hicksville. The third training will be planned for the summer of 2017.Q4: A Youth Mental Health First Aid Training was at Community Memorial Hospital in Hicksville. They had 15 participants from Defiance City Schools, Hicksville schools, NOCAC and United Way. Toni has been going to gun and sporting shops to provide information on suicide and resources available. 3 area gun retailers are currently distributing the Suicide and Firearms Brochure as well as the Practice Targets with the National Suicide Hotline number (Partisan Arms, Wooden Indian Pawn Shop, Rat Pack Pawn Shop). Mental health presentations Scheduled at Defiance Family Physicians (Promedica) Spoke with Mercy Defiance Clinic, wanting the presentation, in the process of scheduling. Have reached out to Hicksville Docs.




Timeline Progress

Expand Evidence-based Programs Targeting YouthYear 1: Re-introduce the SOS program to middle school administration and counselors

Implement SOS program in at least one middle school

Re-introduce the SOS program to Hicksville school


Connie Planson, Maumee Valley Guidance Center

December 31, 2016

Status: Ongoing for Middle Schools in Defiance County.

district

Year 2: Continue efforts from year 1December 31, 2017

Status: ongoing. In 2017 91 middle school students at Fairview HS

Year 3: Continue efforts from year 2 December 31, 2018

Status: ongoing

NotesYear 1:Q1: Signs of Suicide in Defiance Middle School 7th grade and Defiance, Fairview, Tinora and Ayersville High School 9th grade.Q3/ Q4: Signs of Suicide is being presented at Defiance High and Middle School, Tinora High School and Fairview Middle School. Hicksville was offered the Signs of Suicide program, they declined services.Year 2: Q2: 2017 Signs of Suicide is in all 5 schools.

Provide Mental Health First Aid TrainingYear 1: Obtain baseline data on the number of trainings that have taken place.

Market the training to Defiance County area churches, schools, Rotary Clubs, Law Enforcement, Chamber of Commerce, City Councils, college students majoring in social work/mental health, etc.

Provide at least 2 trainings

Tonie Long, Four County ADAMhs Board


Carrie WetsteinUnited Way

December 31, 2016

Status: ongoing 15 participants from Defiance City Schools, Hicksville schools, NOCAC and United Way.

Year 2: Provide 3 additional trainings and continue marketing efforts.

December 31, 2017

Status: ongoing Total Participants: 47 (seen notes)

Year 3: Continue efforts from year 2. December 31, 2018

Status: ongoing

NotesYear 1:Q1: Youth Mental Health First Aid training provided to Defiance County School guidance counsellors. Three trainings will be held in 2016 and three be held in 2017. One additional trainer will be trained to conduct this course.Q2: United Way of Defiance County worked with Four County Family Center to provide the Youth Mental Health First Aid Training to Guidance Counselors in all 5 school districts and the IEC. Two additional FCFC staff have been trained to provide the YMHFA training and plans are being made to host three additional trainings in the 2016 – 2107 school year for Defiance County school personnelQ3: UWDC hosted a YMHFA training with Four County Family Center on Thursday, October 13 with 17 school personnel attending. The next training is scheduled for Tuesday, January 30th at Community Memorial Hospital in Hicksville. The third training will be planned for the summer of 2017.Q4: A Youth Mental Health First Aid Training was at Community Memorial Hospital in Hicksville. They had 15 participants from Defiance City Schools, Hicksville schools, NOCAC and United Way.Year 2:Q1: Carrie relayed that 12-14 people will participate in a Youth Mental Health First Aid training on June 10th. United Way of Defiance has partnered with Toledo Children’s Hospital for a Teen PEP (Peers Educating Peers) program.Q2: Toni is working to bring a Trever Project training to Defiance County for professionals who interact with LGBT youth.Q3: Kathy Helmke explained that they have had a mental health first aid training for adults in October.Q4: MHFA- Defiance County MHFA in 2017:Defiance United Way @ Hicksville Hospital – youth model – 14 participants NOCAC @ Promedica Hospital – adult model – 16 participants Defiance United Way @ Promedica Hospital – youth model – 17 participants Total Participants: 47




Timeline Progress

Expand Integrated Care EffortsYear 1: Expand efforts of the Defiance Community Health Center Integrated Care at Maumee Valley Guidance Center through the following:

Expand current facility volume Expand to another facility in the county Offer more services to become even more

comprehensive

Les McCaslin, Four County ADAMhs Board

December 31, 2016

Status: Complete

Year 2: Expand efforts from Year 1December 31, 2017

Status: complete- FQHC is fully staffed, low wait times and doing well

Year 3: Continue efforts from Year 2

Four County Mental Health Communication Campaign- (new action step 2/1/2018)Expand mental health campaign

December 31, 2018

Status: ongoing The Four County Health Districts are working on a communication campaign to promote mental wellness

Notes: Q1: OngoingYear 1:Q2: ADDED 298 NEW PATIENTS (JAN TO JUNE 16)Year 2:Q3: Jen explained the Four County Mental Wellness Project as a communication campaign funded by the ADAMhs board to demonstrate and promote strategies to maintain mental health. The health district has a survey posted on their Facebook and Twitter to help gather mental health wellness perceptions in our community.Q4: The four county ADAMhs Board is funding a mental wellness communications campaign. Advertisements include Radio, newspaper, billboards and social media


Progress ReportSubstance abuse


Timeline Progress

Expand efforts of the Defiance County Drug Free Coalition

Year 1: Enlist any missing sectors to be a part of the coalition

Complete a Coalition Satisfaction Survey to determine areas of improvement

Apply for 501(c)3 status in order for the coalition to have more grant funding opportunities

Plan a community awareness campaign to increase education and awareness of risky behaviors and substance abuse trends. Determine best ways to educate community and parents (social media, newspaper, school websites or newsletters, television, church bulletins, etc.)


Jessica MyersDefiance County Drug Free

Coalition

December 31, 2016

Status: complete

Year 2: Research potential funding sources to further the work of the coalition

Plan awareness programs/workshops focusing on different “hot topics” and risky behavior trends.

Attain media coverage for all programs/workshops

December 31, 2017

Status: ongoing brochures were created to increase awareness for the coalition and increase membership the coalition is interested in local funding


Status: ongoing

Notes:Year 1:Q1: The Defiance Co. Drug Free Coalition has filed paperwork to become recognized as a 501c3. The coalition will be receiving some funding from Four Co. ADAMhs board. A director will be hired to manage the coalition activities in the next couple months. Strategic planning will be completed to plan for the coming year’s activities. Numerous members of the coalition continue to meet with a group spear headed by Defiance Mayor McCann, Defiance 2100 and other representation to look into substance use and abuse in Defiance County.Q2: Defiance Co. Drug Free Coalition has obtained 501(c)(3) status. An executive director, Jessica Myers was hired and will start August 1st.Q3: A group of community members which convened in May 2016 to discuss drug treatment in Defiance County are nearing the completion of the four goals which included: in-home detox protocol, 24/7 access, communication and youth help. The group presented a community forum, which was sponsored by the Defiance County Drug Free Coaliton, in Hicksville and Defiance in October. Hicksville had approximately 50-60 participants, Defiance around 125 in attendance. The forums were well received with positive comments. A survey was completed at the forums asking what the community wanted more information on. The topics indicated were Narcan/ detox and addiction/ recovery and family support. The survey also asked what brought them to the forum. The responses ranged from being a recovering addict there to support Natalie, a presenter to concerned citizens.Q4: All activities completed for year one. Action steps for year 2 and 3 will be transferred to the Defiance County Drug Free Coaliton.Year 2:Q1: Jessica Myers is presenting a plan for potential funding to the Defiance County Drug Free Coalition Board. The Coalition recently supported a video contest to encourage students to remain substance free for prom.Q2:The DFC received funds from United Way and The Women’s Giving Circle to bring Hidden in Plain Sight to Defiance County. Jessica is still waiting to hear from the Safe Communities Grant.Q3: Jessica relayed that the Defiance County Drug Free Coalition did not receive the Drug Free Communities grant and is currently looking for other avenues for funding.

POWER Defiance County

Community Health Improvement PlanProgress ReportSubstance abuse


Timeline Progress

Implement Parent ProjectYear 1: Determine who is currently offering Parent Project to parents of court-appointed youth.

Introduce program to school guidance counselors and churches. Ask them to make referrals to those who offer the program

Erin Spieth, Defiance County Juvenile Court

December 31, 2016

Status: complete

Year 2: Implement the program with at least 10 parentsSeek funding to offer to others

December 31, 2017

Status: Parent Project class finished in December 2017

Year 3: Expand program to be offered in different areas of the countyImplement the program with at least 20 parents

December 31, 2018

Status: ongoing The next parent project is scheduled for March

NotesYear 1:Q1: Amanda Beck has completed 2 sessions for court involved youth. Erin Spieth is able to expand throughout the county however funding is needed.Q2: United Way has been in communication with Erin about the program. Elizabeth Zartman will be completing the training to become a facilitator for the Parent Project soon.Q3: Elizabeth Zartman has been trained as a Parent Project facilitator. Referrals are being made by Job and Family Services and schools. Expanding the program past those in the court system is being considered.Q4: Amanda Beck will be facilitating a class in March. When the grant ends in June, Erin and Elizabeth will take over facilitating. Judge has allowed the classes be opened up to everyone.Year 2:Q1: Erin reported that 7 parents have already completed the Parent Project this year. They will be offering another class in the fall.Q2: Erin has a class planned for this fall. Parent Project is accepting participants who are not court ordered.

Increase Awareness of Available ProgramsYear 1: Re-introduce Too Good for Drugs program to schools--Expansion if there is funding or find funding. (Make sure superintendents, principals, assistant principals, guidance counselors, and health teachers are aware).

Jennifer Bergman, Ruth Peck Jodi Hybart, Recovery

Services of Northwest Ohio

December 31, 2016

Status: complete

Year 2: Implement the program in at least 2 districts in Defiance County

December 31, 2017

Status: ongoing Too Good for Drugs in in Defiance City Schools 1, 2 &4

Year 3: Implement the program in all 5 school districts in Defiance County

December 31, 2018

Status: ongoing

Notes:Year 1:Q1: Program in Defiance Elementary grades 1st, 2nd and 4th. Will send letters seeking school enrollment for next year in May.

Q2: Working in a workgroup to create proposed curriculum to Defiance County Schools which includes Too Good for Drugs.Q3/Q4: Too Good For Schools Drugs is in Defiance Elementary grades 1,2 and 4.




Timeline Progress

Increase the Number of Health Care Providers Screening for Alcohol and Drug AbuseYear 1: Introduce Project ASSERT.

Collect baseline data on the number of emergency department, primary care and specialty care providers that currently screen for drug and alcohol abuse (and at what age they start screening).

Jack Poling and Diane Simon, ProMedica Defiance Regional

Hospital

December 31, 2016

Status:

Year 2: Introduce a screening, brief intervention and referral to treatment model (SBIRT) to physicians’ offices and hospital emergency departments.

Pilot the model with one primary care physician’s office and hospital ER.

December 31, 2017

Year 3: Increase the number of ER and primary care physicians using the SBIRT model by 25% from baseline.

December 31, 2018

Notes:Year 1:Q1: Mercy Defiance, Promedica Defiance and Community Memorial all report using a substance use screening questionnaire as part of their electronic medical records.Q1:2017 Jamie is looking into how meaningful the SBRIT is to physicians. She will look at how physicians use the data they obtain during the screening.

Provide Incredible Years Programming in Elementary SchoolsYear 1: Re-introduce Incredible Years to all elementary schools in Defiance County


December 31, 2016

Status: complete

Year 2: Provide programming in 3 school districts December 31, 2017

Status: Ongoing Incredible years is in all 5 school districts

Year 3: Provide programming in all 5 school districts December 31, 2018

Status: ongoing

Notes:Year 1:Q1: Incredible years is in Defiance, Tinora, Ayersville and Hicksville schools this year.Q2/Q3/Q4: Incredible years in all five Defiance County schools for the 2016/17 school year.




Timeline Progress

Implement a Community Based Comprehensive Program to Reduce Alcohol AbuseYear 1: Research Community Trials Intervention to Reduce High-Risk Drinking program.

Work with all area law enforcement agencies to determine which components would be feasible to implement.


Defiance County Drug Free Coalition

December 31, 2016

Status: complete

Year 2: Implement at least 2 of the following strategies:

Sobriety checkpoints (working with law enforcement)

Compliance checks (working with the Ohio Investigative Unit)

Seller/server trainings (working with the Ohio Investigative Unit)

Parents Who Host Lose the Most campaign (educating parents on the laws for distributing alcohol to minors)

Use zoning and municipal regulations to control alcohol outlet density

December 31, 2017

Status: ongoing the DFC continue doing Hidden in Plain Sight, Parents Who Host Lose the Most

Year 3: Expand strategies to all areas of the county and implement remaining strategies

Continue to facilitate the Drug Free Leadership Council (DFLC) (new action step 2/1/2018)

Publicize results of efforts.

December 31, 2018

Status: Ongoing the DFLC has created messages to encourage their peers to avoid drugs and alcohol

Notes:Year 1:Q3: Strategic planning for the Drug Free Coalition will take place in December. Intervention strategies will be reviewed at this time.Q4: Strategic Planning was completed and a strategic plan was created for Defiance County Drug Free Coalition. Further programming will be analyzed for implementation based on the strategic plan.Year 2:Q1: Jessica is in the process of a parents who host loose the most campaign for prom/graduation season.Q2: Hidden in Plain Sight educated parents on the items that may indicate that their teenager is using drugs or alcohol.Q3: The Drug Free Leadership Council met and created social norming messages to encourage their peers to remain drug/alcohol free for homecoming, Red Ribbon week and National Teen Safety Driver Month.Q4: Jessica is starting “Fueling Sobriety” a fundraiser that offers gas cards to individuals who are in treatment


Progress ReportInjury Prevention


Timeline Progress

Increase the Use of Safe Sleep PracticesYear 1: Participate in OHA’s Safe Sleep is Good4 Baby Initiative

Work with hospitals and others to integrate safe sleep practice into the hospital and community, developing a targeted media campaign for awareness and provide safe sleep tools to hospitals and new families


ProMedica Defiance Regional Hospital

Mercy Defiance Hospital and Clinic

Community Memorial Hospital

December 31, 2016

Status: complete


Status: complete


Status: Ongoing the health district continues to distribute cribs and safe sleep education

Notes:Year 1:Q1: Mercy Defiance Hospital (MDH) looking into whether they have safe sleep program. ProMedica Defiance Regional Hospital (PDRH) has safe sleep program for all parents of newborns born at the hospital involving education, phone call and a home visit. In addition, the hospital has a safe sleep program for parents of newborns seen in the ER within 28 days of birth. Group discussed working collaboratively on safe sleep campaign done in coordination with hospitals and Defiance County Public Health. Group felt this campaign needed moved into 2017. Will obtain additional information on whether either is specific to OHA’s Safe Sleep campaign before next quarterly meeting. Community Memorial was not present for meeting, so will also obtain information from Jane in regards to details on their safe sleep programQ2: Mercy Defiance Hospital does not have a safe sleep program because they do not typically get children younger than toddler age. Help Me Grow orders safe sleep “OH Baby” kits for local hospitals to distribute to parents after baby is born. Sometimes they have funds for onesies that say “This Side Up” so that parents know which way to place the baby in the crib. Laura informed group that DCGHD has applied for the 2017 Maternal Child Health Block grant and, if awarded in October 2016, would have a focus of cribs and safe sleep along with an education component with a focus on childcare centers. Group decided to continue to hold off the safe sleep campaign until 2017 at which time we may have more information to help in that process.Q3: Meeting held on 10/26/2016. Group will be looking further into Safe Sleep activities already in place at hospitals here in Defiance County. They are all three listed under the Good 4 Baby Initiative through OHA; however, we would like see if this is the initiative being used. Following additional information, group will look at coordinating a county wide safe sleep campaign some time in 2017. DCGHD was awarded the Maternal Child Health Block grant commencing Oct. 1, 2016 with a focus on safe sleep and tobacco use in pregnant women. Safe sleep portion will involve education to childcare centers and distribution of cribs for kids. More information will be coming as parameters are set for the cribs.Q4: Meeting held on 1/27/2017. Stacy spoke with the OB Unit Managers on 11/4/2016 to get specifics on their safe sleep programs. Both confirmed their programs were in fact OHA’s Good 4 Baby Initiative. In January 2017, ODH placed a billboard on South St. Rt. 49 in Hicksville promoting safe sleep. DCPH’s Maternal Child Health Program grant, which commenced on 10/1/2016, will offer the Baby & Me Tobacco Free program with a focus of smoking cessation for pregnant women and their support partner with incentives of diaper vouchers through the first year of baby’s life if they remain smoke free. The grant will also fund Cribs for Kids which will focus on distributing Pack-n-Plays and a survival kit to parents/caregivers of infants 36 weeks gestation through 4 months of age who are Defiance Co. residents, do not have a safe sleep environment,

can attend a 1 hour education session and cannot afford a crib. Brochures for Cribs for Kids have been created and will be distributed to healthcare providers and community agencies soon. ProMedica, Community Memorial and Help Me Grow all took brochures for distribution at the quarterly meeting on 1/27/2017. In addition, safe sleep education will be provided to childcare centers. Workgroup would like to see media campaign listed for 2016 changed to an education focused action step.Year 2: Q1: Hospitals continue to participate in OHA’s Good for Baby initiative for safe sleep. DCPH, through the Maternal Child Health Block Program grant has distributed 3 cribs in the first quarter of 2017, to families who did not have a safe sleep environment for their baby. Safe sleep education was presented to two childcare centers in Defiance County, with two more set to complete the education in May 2017.Q2: DCPH, through the Maternal Child Health Program Grant distributed 8 cribs since the last POWER meeting to families in need of a safe sleep environment for their infant. Cribs for Kids program flyers were requested by Mercy Health Defiance Clinic and distributed to the agency in June 2017Q3: Stacy reports DCGHD was approved for the FY18 Maternal and Child Health grant which fund DCGHD’sCribs for Kids program and approximately 48 cribs to families needing a safe sleep environment for their infants. Help Me Grow home visiting in Defiance County is provided by Henry County Health Department. DCGHD will be collaborating with Henry County Health Department to received referrals for families in need of a crib. DCGHD’s goal is to distribute 25% of cribs through referrals from the home visiting program.Q4: In FY 2017, DCPH distributed 18 Pack-N-Plays. Thus far in FY 2018, DCPH has distributed 5 Pack-N-Plays through the Cribs for Kids program. Referral sources this year have included WIC, DCGHD, Community Memorial Hospital and friends or relatives of participants. Katie has put together provider packets with program information and contact information. DCPH plans to distribute provider packets to physician offices, hospitals, and community agencies in early February 2018.

Implement the STEADI ProgramYear 1: Research STEADI balance assessment tools and educational handouts for falls prevention

Train at least one PCP office

Diane Simon, ProMedica Defiance Regional

HospitalSonya Selhorst, Mercy Defiance Hospital and

ClinicDefiance County Public

Health

December 31, 2016

Status: removed due to the problems associated with EMR’s

Year 2: Implement STEADI assessments and education in at least one PCP office

December 31, 2017

Year 3: Implement in at least 3 PCP offices December 31, 2018

Notes:Year 1:Q1: Neither MDH or PDRH at this time utilize STEADI. Both were unfamiliar with this and asked for additional information in regards to the program. Deb will obtain information specific to STEADI to present at next work group meeting. Currently, MDH utilizes the Morris scale for a fall risk assessment. PDRH utilizes their own assessment based on indicators. Diane from PDRH spoke of conference she attended in Cincinnati presented by TriHealth regarding program that has shown a 42% reduction in falls. Group will look into farther to discuss potential of implementing something like this.Q2: Deb from DCGHD researched STEADI and sent away for some information on the assessment and tools available. Deb created a chart comparing STEADI to Matter of Balance as requested last quarter by members of the group. A discussion of STEADI took place, with ProMedica Defiance Regional Hospital and Mercy Defiance Hospital both feeling they would stay with the current fall assessment they each currently utilize. However, both Diane (PDRH) and Jenny (MDH) volunteered to make contact with the providers at Mercy Defiance Clinic and ProMedica Physicians to see what they use for a fall assessment and if it may already be STEADI. Following that information, group decided that maybe a letter out to

providers may be helpful to educate about STEADI. In addition, both hospitals present for meeting stated that current EMR systems can make it hard to incorporate new assessments not already built into the software.Q3: Diane informed group that she found out ProMedica providers do not use the STEADI assessment tool nor does their PT department. Pieces of various assessments are used that are tied to their EMR. Changing the way EMR’s are set up can be extremely difficult and hard to change. With Mercy Defiance Hospital already using a fall assessment of their own, STEADI may not be the way to go. Group decided to check with Community Memorial Hospital on whether they or their providers utilize STEADI before completely counting this step out.Q4: Since the last meeting, Stacy was able to follow up with Jane from Community Memorial Hospital on 11/3/2016 with regard to their falls assessment. She too informed Stacy that their falls assessment was not STEADI. It is an assessment embedded in their EMR system. So, just like ProMedica Defiance Regional Hospital and Mercy Defiance Hospital, changing what currently exists in the EMR’s is very difficult to change.Group feels this action step should be removed due to the problems associated with EMR’s. Stacy led a discussion of what type of protocol or referral process is in place in the event someone is flagged at risk for a fall. Both ProMedica and Community Memorial have a color system in place for hospital admissions. After the assessment, depending on level of fall risk, the patient is color coded including charts and their hospital room. Yellow=high risk. ProMedica also noted that those identified as a potential risk for a fall being sent home are given a list of resources, the top ten tips for decreasing falls and the patient’s health care provider is notified.




Timeline Progress

Implement Matter of Balance ProgramYear 1: Research Matter of Balance Program

Determine best locations to hold program (ex: Senior Centers, churches, etc.)

Have volunteers trained to lead the groups

Work with physicians for referrals to program

Pilot program in at least one location


Rich Seward, YMCA


December 31, 2016

Status: complete

Year 2: Expand program to other locations and times

December 31, 2017

Status: complete


Status: ongoing the health district continues to hold A Matter of Balance Classes in Defiance County

Notes:Year 1:Q1: Currently Defiance County Public Health is in the process of getting two nurses trained to be Matter of Balance Master Trainers. The next class is in June 2016. Ideally, that would be time to get trained so program could get underway possibly in September 2016. There is a hold up with a contract requirement for the training which hopefully will be resolved soon. There is already interest in the program from Silver Sneakers, extended care facilities and home health agencies. Hospitals will look into sharing data on injury prevention topics for use by Defiance County Public Health. This would involve data on safe sleep, falls, child passenger, etc.Q2: Two nurses from DCGHD completed training to become Master Trainers in Matter of Balance in early June 2016. A discussion moving forward revolved around Silver Sneakers at Defiance Area YMCA being the pilot program to begin in September 2016. Following that program, they would

like to do the program with Silver Sneakers at Community Memorial Hospital in Hicksville. In the future, DCGHD would like to train volunteers in Matter of Balance and start marketing the program at various locations in Defiance County. More discussion on physician referral to come as program gets off the ground.Q3: Matter of Balance pilot program is underway with 5 of 8 sessions already complete. Last class for this pilot is November 18, 2016. A total of 9 are participating though Silver Sneakers at the Defiance Area YMCA. So far, good attendance, exercising and willingness to share has been noticed. A pre and posttest will be used to assess participants using questions from the Community Health Status Assessment 2015. They are looking at offering the class to Hicksville’s Silver Sneakers at Community Memorial Hospital in Spring 2017. They also have been approached by Kingsbury House here in Defiance to hold a class for their residents in January/February 2017 since their residents already live there and wouldn’t have to venture out in the winter weather. Currently, word of mouth seems to be how the classes fill up in other counties; however, a referral process for PCP’s is being looked into. DCGHD is also looking at training volunteer coaches beginning Spring 2017.Data information: Diane brought data from the Northwest Ohio Regional Trauma Registry in which hospitals in this region report in to. Diane brought some data on falls occurring in all age groups. This registry has the ability to pull data from various data points. Diane will be looking into accidents and child restraint use at the time of the accident. This will be helpful moving forward looking at data.Q4: Pilot project completed Fall 2016 at Defiance Area YMCA. Matter of Balance requested in house at Kingsbury house for their residents, which is schedule to get underway 1/27/2017. Another class will begin at Community Memorial Hospital in Hicksville through their Silver Sneakers program in April 2017. Future planning includes training of volunteer coaches Summer 2017 and the development of a referral process for the program soon after coaches are trained.Year 2:Q1: A second Matter of Balance class was offered at Kingsbury House and was completed in March 2017. A third class began in April 2017 at Community Memorial Hospital in conjunction with their Silver Sneakers program. Goal moving forward is to begin training lay coaches Summer 2017. A referral rough draft has been created; however, this will not be finalized and implemented until lay coaches are trained and programming is ready to expand. ProMedica mentioned being willing to use referral to Matter of Balance for those assessed as fall risk, when the referral process is in place.Q2: A third Matter of Balance class was completed late May 2017 at Community Memorial Hospital through their Silver Sneakers program. Community Memorial Hospital has a wait list for Matter of Balance and is requesting the class be offered again in Fall 2017 for those individuals on the wait list. DCPH will be offering training for lay coaches late August 2017 with a goal of training 2-4 volunteer coaches. Once those individuals have been trained, a referral process for the program will be finalized.Q3: A Matter of Balance has trained 3 lay coaches in August and is looking to expand the program. A Matter of Balance in Hicksville at Community Memorial Hospital is going well and will finish this class with a final session on November 6, 2017, with a celebration and graduation for participants. The next step is to finalize the referral process in order to expand to other locations while utilizing our newly trained lay coaches. Deb will make some referral flyers for ProMedica and Community Memorial Hospital. In the next Community Health Needs Assessment there will be a question concerning fall prevention and whether county residents have been looking for fall prevention type programs. This may help determine areas of the county in need of A Matter of Balance class. The next class will be held winter 2018 at Glenn Park.Q4: DCPH completed three 8 –session classes in Defiance County in 2017. Two classes at Community Memorial Hospital and one class at Kingsbury Place. Community Memorial Hospital has invited DCPH back to host another class in the Spring of 2018. DCPH trained three MRC volunteers as volunteer coaches for the program. A MOB class is scheduled to start January 22, 2018 at Glenn Park in Defiance. Attached in the meeting minutes email is a summary of A Matter of Balance surveys completed during the MOB first and last sessions. DCPH plans to discuss a referral mechanism and referral process in 2018. Bridget, a chronic disease epidemiologist for DCPH compiled a falls data report, see attachment.




Timeline Progress

Increase awareness of child passenger safety best practicesYear 1: Promote available child passenger safety Defiance County Public December 31, Status: complete

services within Defiance County

Implement one National Mobilization Campaign

Hold one occupant protection focused community event

Work with primary care offices to assess what information and/or materials they are lacking to provide better resources for child passenger safety and occupant protection.

Work with law enforcement to assess what information and/ or materials they are lacking to better promote child passenger safety

Health 2016

Year 2: Continue to promote child passenger safety services within Defiance County

Implement two National Mobilization campaigns

Hold two occupant protection focused community events

Offer trainings for materials to PCP offices on child passenger safety and occupant protection

Offer trainings to law enforcement to on child passenger safety

December 31, 2017

Status: complete


Status: ongoing the health district continues to offer child passenger safety services

Notes:Year 1:Q1: Currently Defiance County Public Health has two certified child passenger safety technicians. A third nurse will become certified as soon as a class becomes available. Goal is June 2016. Car seat classes held twice a month for eligible families. Diane state PDRH has one certified technician and that they have a car seat program in the ER to which families coming in as a result of a car accident can leave the ER with a new seat for the family to leave safely in. Defiance County Public Health applying for Safe Communities grant for 2017 that addresses campaigns aimed at safer communities like Click it or Ticket and Drive Sober or Get Pulled Over. This would involve some collaboration with law enforcement and a number of community agencies. Ideally, Defiance County Public Health would like to get law enforcement involved more in child passenger safety as well.Q2: DCGHD continues to offer car seat classes and seats twice a month to eligible participants. DCGHD offers car seat installation checks for Defiance County residents by appointment. DCGHD sent Katie to become a certified Child Passenger Safety Technician in June 2016. DCGHD hopes to continue building and promoting child passenger services as time goes on.Q3: Child Passenger Safety Classes continue to be held twice a month for eligible families needing car seats. Car seat checks are available by appointment with one of the Child Passenger Safety Technicians. DCGHD participated in Storybook Adventure 9/17/2016, which is a free early literacy event held in Defiance targeting those prenatal through early childhood. This event captured more than 250 young children. DCGHD passed out agency brochures, child passenger safety booklets and fact sheets on correct installation of car seats. On 9/19/2016, DCGHD distributed letters to family practice and OB/GYN providers informing them of child passenger safety services available in case they had a family in need of assistance. Additional work needed in developing a plan for addressing the needs of law enforcement pertaining to child passenger

safety.Q4: Stacy has ordered laminated child restraint law cards to be distributed to law enforcement agencies this Spring 2017. Stacy also ordered DVDs covering the child restraint laws in Ohio that will be used to offer trainings to law enforcement personnel here in Defiance County in Spring 2017 as well.SAFE COMMUNITIES: Upcoming events for Safe Communities grant includes National Mobilization campaigns throughout 2017, an educational event at both Defiance and Hicksville Senior Centers with a focus of Click it or Ticket, mature drivers and signs an individual should no longer drive. Defiance’s event is in February 2017 and Hicksville’s is in April 2017. Another event will be held at the Defiance Home & Garden show on March 10-11 with educational presentations and material distribution. This grant has formed a coalition along with periodic reviews of fatalities.Year 2:Q1: In March 2017, DCPH distributed laminated child restraint law cards to law enforcement agencies so that every patrol car would have access to this resource. DCPH plans to offer a video training some time in Summer 2017 to law enforcement agencies on child restraint laws. DCPH has already obtained copies of the video training. Ohio Buckles Buckeyes (OBB) program had promotional cards printed outlining program to use as marketing.Card were given to ProMedica at workgroup meeting for hospital/physicians groups. Planning for two community-focused events will continue.Defiance County Safe Communities participated in the Home & Garden Show at Defiance College in March 2017 with focus on Click it or Ticket, Look out for motorcycles and Drive Sober or Get Pulled Over. Handouts on child passenger safety were also available. These same traffic messages will be a focus at the Lilac Festival for Defiance County Safe Communities in May 2017. A mature driving presentation is scheduled for the Hicksville Senior Center June 2017.A seat belt check is scheduled for area high schools as the students arrive at school, which will be a Click it or Ticket kickoff event May 2017. This event will also have a PSA for students. Another event for Defiance County Safe Communities will be the Defiance County Fair in August 2017.Q2: DCPH continues to hold car seat classes for eligible families twice a month. So far, since the last POWER meeting, DCPH has distributed 19 car seats to eligible families in need of a car seat for their child. Informational brochures on car seat classes were requested by and distributed to Mercy Health Defiance Clinic in June 2017. In May 2017, DCPH distributed an online training opportunity regarding car seats and child passenger safety laws to all law enforcement agencies in Defiance County. This opportunity was accessible to law enforcement via the Ohio Law Enforcement Gateway.SAFE COMMUNITIESThrough the Safe Communities Grant, Defiance County Safe Communities participated in the following events in the 2nd quarter: The Lilac Festival in May 2017 focused on all traffic safety messaging including “Click it or Ticket”, “Don’t Text and Drive”, “Look out for Motorcycles” and “Drive Sober or Get Pulled Over”. The coalition participated in the Click it or Ticket National Mobilization campaign May 15-26, 2017. The campaign involved conducting seat belt surveys at three of the 5 county high schools. Data from this event was collected. A mature driver education session was presented at the Hicksville Sr. Center in June 2017. Defiance County Safe Communities also participated in the Defiance County Relay for Life with a focus on all traffic safety messaging. Ney Homecoming was the most recent event that Defiance County Safe Communities participated in on July 20th, with a focus of “Don’t Text and Drive”. The grant focuses on traffic safety initiatives with the goal of reducing injury and death.Q3: The health district had 2 additional employees trained as Certified Child Passenger Safety Technicians. This year 22 child passenger seats have been distributed. Stacy relayed that there is some misinformation about the convertible car seats that are distributed. Stacy reported car seat classes continue to go well at DCGHD, with a record 21 seats given out in the last quarter. Stacy obtained child passenger restraint law cards for law enforcement and connected them with a video link for law enforcement to view and receive CEU’s pertaining to the child restraint laws in Ohio.SAFE COMMUNITIES DCPH completed three 8 –session classes in Defiance County in 2017. Two classes at Community Memorial Hospital and one class at Kingsbury Place. Community Memorial Hospital has invited DCPH back to host another class in the Spring of 2018. DCPH trained three MRC volunteers as volunteer coaches for the program. A MOB class is scheduled to start January 22, 2018 at Glenn Park in Defiance. Attached in the meeting minutes email is a summary of A Matter of Balance surveys completed during the MOB first and last sessions. DCPH plans to discuss a referral mechanism and referral process in 2018. Bridget, a chronic disease epidemiologist for DCPH compiled a falls data report, see attachment.


Progress ReportTrans-Strategies


Timeline Progress

Implement a Transportation SystemYear 1: Continue operations of FlexRide transportation system

Monitor use and effectiveness of FlexRide Transportation system

Carrie Wetstein, United Way December 31, 2016

Status: complete

Year 2: Determine a transportation network which best fits the needs of the Defiance County community.

Acquire funding to support the identified transportation network.

Implement transportation network

December 31, 2017

Status: complete the United Way is creating a Coordinated Transportation Plan. This plan has been accepted by the Ohio Department of Transportation (ODOT) .A grant has been submitted for a mobility manager.

Year 3: Continue transportation network as identified in Year 2Secure funding from ODOT for Mobility Manage and support Mobility Manager efforts to benefit the community

December 31, 2018

Status: ongoing

Notes:Year 1:Q1: FlexRide is operating.Q2: We have one year of the FlexRide program data compiled. We will be working to determine our next steps regarding collaboration while still providing the FlexRide program. We are working with Ellen Smith from MVP to finalize our Coordinated Transportation Plan. This plan would need to be in place should we choose to pursue ODOT funding through their 5310 program. We are 1 of only 3 counties in the state of Ohio who do NOT receive funding from the 5310 program. Additional funding has been secured through United Way of Defiance County and PDRH – Monarch Fund to continue the FlexRide program for a while.Q4: Data is available for the FlexRide pilot program for the entirety of operation, July 2015-November 2016. The majority of rides provided were for employment (41%), the other two categories available for transportation include legal (31%) and medical (29%). This was a pilot program with the goal of providing services to those who don’t qualify for existing transportation, as well as gather data regarding transportation needs in Defiance County.The cost of the FlexRide pilot program was $33,000. Because all the pilot program funding has been exhausted, the program is not being offered currently. Funding to reinstate the program is being pursued.The data collected will be included in the Coordinated Transportation Plan that was developed in conjunction with the FlexRide program. This document needs to be in place if Defiance County decided to pursue funding through ODOT’s 5310 program. Many steps and meetings will need to take place before pursuing this funding. We will need help sharing the plan and obtaining feedback from the community.Year 2:Q1: Carrie relays they have sent a letter of inquiry for funding to raise money for a coordinated transportation plan. This plan should be adopted by the end of the month.Q2: The Coordinated Transportation plan has been accepted by ODOT and a full time Mobility Manager position will be created. This position will analyze current transportation services and identify transportation needs in the county.

Family Services GuideYear 1: Update current Family Services Guide Julie Voll, Family & Children December 31, Status: complete

Secure funding to print

Office Get Connected-Get Answers training

Convert Family Services Guide to on-line resource

First 2016

Year 2: Continue to update listings in Family Services Guide as necessary

Identify frequency to reprint Family Services Guide and offer Get Connected-Get Answers training.

Continue to develop a marketing plan to deploy Family Services Guide to organizations and individuals.

December 31, 2017

Status: complete


Status: ongoing

Notes:Year 1:Q2: The Family Services Guide is scheduled to go to print the week of 8/1/16.Q4: Resource guides are available. If you need copies of the guide let Julie know. Defiance City School felt the guides were a good resource for their staff. DCS paid to have Family Service Guides printed so all school personnel could have one.Year 2:Q1: 2017 Julie was asked to update the information on the yellow cards (similar to the yellow pages) to allow easy access to important phone numbers. Julie will be emailing the businesses and agencies in the orange book to create the yellow card.Q2: 2017 The Orange Resource guides are available and Julie is bringing them to schools when classes start.

POWER Defiance County Community Health Improvement Plan

Progress Report

Additional Meeting Notes:

1/1/2016 It was decided that POWER Defiance County would “oversee” the progress of the CHIP action plan.The group will need to work on an updated list of who is on POWER Defiance County.

Quarter 1 2016: We are also working on Quality of Life factors in conjunction with Defiance 2100. We have met as

an initial group and broken down to subcategories of Infrastructure, Information Processing, Health/Nutrition and

Human Services. We will tie the efforts of the above groups to the Action Steps above as well as other Quality of

Life issues.

2/2/2017- 2016 CHIP reviewed and revised as deemed necessary by the group.

2/1/2018- 2016 CHIP was review and revised as deemed necessary by the group

CHIP … · Web view · 2018-03-25They have not done any of the webinars and report that their...

Documents

Transcript of CHIP … · Web view · 2018-03-25They have not done any of the webinars and report that their...